| 保留皮肤的乳腺癌改良根治术后即刻乳房再造的临床应用 |
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| 引用本文： | 王颖,张学慧,亓发芝.保留皮肤的乳腺癌改良根治术后即刻乳房再造的临床应用[J].中华乳腺病杂志（电子版）,2008,2(3):13-17. |
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| 作者姓名： | 王颖 张学慧 亓发芝 |
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| 作者单位： | 1. 天津医科大学附属肿瘤医院乳腺外科,乳腺癌防治教育部重点实验室,天津市"肿瘤防治"重点实验室,天津,300060
2. 复旦大学附属中山医院整形外科,上海,200032 |
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| 摘 要： | 目的探讨保留皮肤的乳腺癌改良根治术后即刻再造乳房的适应证、方法、效果及可行性。方法2002年1月至2007年11月本院对94例乳腺癌患者行保留乳房皮肤皮下乳腺组织切除加腋窝淋巴结清扫术后，应用下腹部横行腹直肌肌皮瓣（transverse rectus abdominis myocutaneous flap，TRAM）、背阔肌肌皮瓣（latissimus dorsi myocutaneous flap，LDM）联合或不联合假体、单纯乳房假体植入4种方式即刻再造乳房。结果再造手术均取得成功。带蒂TRAM再造47例，LDM再造共42例（其中联合假体28例），单纯乳房假体植入5例。4例出现轻微术后并发症（4．25％）。经过3～67个月随访，局部区域复发率为0，再造乳房形态自然，效果满意，术后外观评价优良率97．87％。结论合理选择病例行保留皮肤或保留乳头乳晕乳腺癌改良根治术后即刻乳房再造是安全可靠的，切口隐蔽并能够保留原有乳房皮肤的感觉，从而获得最佳美容效果，值得广泛推广和应用。
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| 关 键 词： | 保留皮肤乳房切除术 乳房再造 乳腺癌 |
Skin-sparing mastectomy and immediate breast reconstruction for breast cancer |
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| WANG Ying,ZHANG Xue-hui,QI Fa-zhi.Skin-sparing mastectomy and immediate breast reconstruction for breast cancer[J].Chinese Journal of Breast Disease(Electronic Version),2008,2(3):13-17. |
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| Authors: | WANG Ying ZHANG Xue-hui QI Fa-zhi |
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| Institution: | WANG Ying, ZHANG Xue-hui, QI Fa-zhi. (Department of Breast Surgery, Cancer Hospital and Institute, Tianfin Medical University, Tianjin 300060, China) |
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| Abstract: | Objective To investigate the indications,surgical methods,effects and feasibility of immediate breast reconstruction after skin-sparing mastectomy.Methods From January 2002 to November 2007,94 breast cancer patients received skin-sparing mastectomy plus axillary lymph node dissection and immediate breast reconstruction with transverse rectus abdominis myocutaneous flap(TRAM),latissimus dorsi myocutaneous flap(LDM)with or without implant and full-size implants.Results All reconstructions were successful.TRAM... |
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| Keywords: | Skin-sparing mastectomy Breast reconstruction Breast neoplasms |
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